28-024 (3) i
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/;,-1;� - ;)-q
For ALL buildings within Fire District and for other buildings costing $10,000.00 or more,plans
and specifications must be submitted to the Inspector of Buildings for examination and approval.
If building is to be moved give details relative to proposed location as for a new building. i
Application for Permit to Build l �'�`' J.
pp �
Northampton, Mass., )...............19...2�2
To the Inspector of Buildings:-
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.-
I IL
1. Owner's name .........Lee...................... ct�C.........................................................................................................
2. Owner's address . .. 5. .....i y. .....� ..,,......rz� . ..........................................I..».......».. ..................
3. Architect's name ......................................................................................................................................... ....................................................
4. Builder's name ............................................................................................................................................................................................
5. Builder's address ............................................................................_.......................................».......................................................»................
Ed6 6. Location of Building. Street No. ... .S.rs�..... .... :..}. (. -..... .... ............._.»...._....... .
7. Is this a removal or new building............. ........................ .........................._.....................................................................................
8. If removal, from where .........................................................................................»....................................................................................
9. What is the purpose of building ......64 .................................................................................................................
10. Material of building ............................................»..................................................................................................».........................................
11. If a dwelling, for how many families .............................................Number of rooms ...................................................
12. Is there to be a store in the building .........._................._.......................................................».............»..............................._...........
13. Size of building, No. of feet front .........»»...........;No. of feet deep ........................: No. of stories ...........»....»..
14. Size of ell, No. of feet front ........................: No. of feet deep ................._.....; No. of feet high ...........».............
15. Size of Lot ...................................................................................Feet Wide ................................. Feet Deep
.................................
16. How near the-line of street ..........................................,..................................................................».......»................»...............................
17. How near the line adjoining lot. Right..................................: Left..................................; Rear...............................
18. Nearest building is................................. feet in a...................................................... direction ......................................................
19. Material of the floor .........................................................................................................................................................»................
20. Size of timbers, 1st .......................; 2nd .....»................ ; 3rd ........................: 4th .............................; 5th ............................
21. No. of feet span...........».............».......................................... ; Distance on centers ................................
22. Will the building be erected on solid or filled land ..............................................................................................................
23. What is the material of foundation .................................................».........._..................................; Footing .......................
24. Will the roof be flat or pitched ..............»...............................................; Covering....................................................................
25. Heat; steam, hot water, furnace, stoves..........................................: Power oil burner.............................»................
26. Fireplace ...................................................................; Insulation .............._...........................................................................................»..
27. How many sinks , Toilets ............. Lavatories .. .....; Bathtubs.........; Showers............; Settubs .........
28. City Service; Water ........................ Sewer ........................; Road Surface ...........................; Sidewalk
29. Is lot on accepted street ............................................».... ........................._....................................._............._................».............
30. Estimated cost (must be filled out) .................... ..Z...O.J....... ....................................._...............................».............
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathin. g or
plastering this building. This building will conform o the requirements of a law.
Signature of applicant .. _._...... »...._............................. ... ..........
No............ ...........
REMARKS
...»....�. ...._. ........_ .:j............. '................ � .r-1`=�..............�......»....»._..........._........._.............
..........................................................................................»...................................................................................................................................................................
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APPLICATION V-7
Zoning ordimilice. sf,cticn 107 0 F1.—in File
9wner
Address _ D_ J1 r e sh
Telephone Telephone
This section is to be filled out in ccordance -,,i t.),, the "T` ?blo of Dimensional and
Density Re latione:. (Z. D. A-PTICLE, VI).
Zoning U 1;e Lot Fro 1)
t jDcj,th Min. Op.
District -�T -de
Area 17i d t h Front_ -r)J Cover. ace
t
Fr err Proposed %
,lark the appropriate box to indicnte the use of the parcel:
17on-Conforming 1,,-.,t
Residential r--ISinle F?-iily Unit E-11'ulti-Family
Duplex E--1 0 t h ei
Business
F--j Industrial
Institutio-1-
Subdivision F-1 Rz'c,!,-1 !'.U.D.
:Subdivision with
= Planning 7joard Approval :
[= Zoning Board Approval (Special perjljjt 1,).o: V,-,riqlcc)
= CitY Council (Special Exception S. 10.101 '
Watershed Protection District Overlty: (Z.0. Sect. 'XIV) E Yes E o
Parking Space Requirements: (Z.C. :-,Oct. "..I) FLeqiiircd -1ro.pose(1 —
Loadiri,,- 'Space Requirements: (Z.C. 7ect. 8.2) Required Proposed
Signs: (Z.O. Art, VII) = yec No
,Environmental Performance Standards: ( 7.0, Art. XJI) — F---1 Y e r, F-1 ro
Plot Plan
(S. 10.2) Yes 170 Site Plan Yes 1,10
(E. 10.2 )nd 10.11
M-iver Grantc,!:—D-te
am xm I= M No am U= mm mm na KM Un Em wx M W= RM mm Ica E= no sm EM mm ma wm m
This section for OFFICIAL u--e only
F--IApprov,).l as presented:
f11-10dific-ations i-,eccrFory for arpj•ov,,J:
(Re.turn: (i)ore information needed)
Denial: Rea-cors:
)f Officer Date
Signature of Ap, lic-:�nt Date